European Experience with Shared Decision Making

Angela Coulter (1) , Martin Härter (2) , Nora Moumjid-Ferdjaoui (3, 4) , Lilisbeth Perestelo-Perez (5) , Trudy van Der Weijden (6)

1 University of Oxford
2 University of Hamburg
3 GATE Lyon Saint-Étienne - Groupe d'Analyse et de Théorie Economique Lyon - Saint-Etienne
4 Centre Léon Bérard [Lyon]
5 Canary Islands Health Service
6 Maastricht University [Maastricht]

Background: Shared decision making (SDM) is frequently advocated but not yet widely implemented in European countries. Experience suggests that various incentives must be in alignment to encourage wider uptake. Objectives: To assess readiness for mainstream implementation of SDM in five European countries. Methods: Qualitative assessment of clinical policies and the availability of various SDM support services in Germany, France, Spain, the Netherlands and the UK. Results: All five countries have research groups working on SDM, patient groups calling for its wider use, and ethical and professional standards indicating its desirability, but apart from a small number of demonstration projects, there is no evidence of a systematic approach to implementation in any of the countries as yet. Conclusions: Greater attention will need to be given to the provision of effective leadership, training and practical support if SDM is to become a regular feature of clinical practice in these countries.

Mots clés: shared decision making; France; Germany; Spain; Net herlands; UK

Domaines: Economies et finances

Angela Coulter, Martin Härter, Nora Moumjid-Ferdjaoui, Lilisbeth Perestelo-Perez, Trudy van Der Weijden. European Experience with Shared Decision Making. 2015. ⟨halshs-01247699⟩